| NPI | 1588208730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222315) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401017897) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2022-01-31 |